Individual
ELAINE BALDUEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
420 S COURTNEY AVE, FULLERTON, CA 92833-3217
(714) 900-3216
Mailing address
420 S COURTNEY AVE, FULLERTON, CA 92833-3217
(714) 900-3216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
754914
CA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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